When Polly Shoemaker, RN, BSN, MBA, looks back on early 2016, she doesn’t know how she juggled everything. As director of clinical systems at Tulsa, OK-based St. John’s Hospital, Shoemaker already had a challenging job. But when her father’s esophageal cancer took a southward turn, she not only had to carry the logistical load of his care, but also keep up with work and family. “I don’t know how I did it, but I needed to and wanted to, so I did,” she says of her struggles as a sandwich generation caregiver.

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